BOSCOVS DEPARTMENT STORE LLC
NPI 1366376196
Eyewear Supplier in Lebanon, PA
About Boscovs Department Store Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOSCOVS DEPARTMENT STORE LLC (NPI 1366376196), doing business as Boscov's Optical, is a healthcare organization registered as an eyewear supplier in Lebanon, Pennsylvania and active in the NPI registry since June 2026. The organization lists Michael Derenzo, Director Of Optical Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Other Names 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boscovs Department Store LLC's NPI number?
The NPI number for Boscovs Department Store LLC is 1366376196. It was assigned to this organization in the NPPES registry on June 9, 2026. The provider is doing business as Boscov's Optical.
Where is Boscovs Department Store LLC located?
Boscovs Department Store LLC is located at 2201 Lebanon Valley Mall, Lebanon, PA 17042. The listed phone number is (717) 798-2527.
What is Boscovs Department Store LLC's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
When was this NPI record last updated?
The NPPES record for Boscovs Department Store LLC was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
